Introduction: Tanzania is among of the African countries with high maternal and child mortality rates and fast growing population. It also has high fertility rate and a huge unmet need for family planning. Contraceptive use reported to avert more than 1 million maternal deaths in Sub-Saharan Africa due to decline in fertility rate and thus help to achieve MDG 4 and 5. Therefore, this study aimed to determine factors influencing modern contraceptive use among women aged 15 - 49 years in Tanzania. Methods: This was a secondary analysis of Tanzania Demographic Health Survey (TDHS), 2010. A total of 475 clusters (urban and rural) composed of 9663 households were selected. During the survey, a total of 10,139 women aged 15 - 49 years were interviewed about sexual and reproductive matters using a standardized questionnaire. We restricted our analysis to married/cohabiting women (n = 6412) responded for in individual records and domestic violence (n = 4471). Univariate and multiple logistic regression analyses were performed using Stata version 11.0. Odds ratios with 95% confidence intervals for determinants of modern contraceptive use were estimated. A P value of 5% (2 tails) was considered statistically significant. Results: Women empowerment (OR = 1.4; 95% CI: 1.13 - 1.63), male-female age difference of less or equal to nine (OR = 1.6; 95 CI: 1.01 - 2.66), and advice given at health care facilities on family planning (OR = 1.6; 95 CI: 1.37 - 1.96) were predictors of modern contraceptive use. Woman sexual violence was not associated with modern contraceptive use. Conclusions: The predictors of modern contraceptive use in our study correspond with previous studies in low and middle income countries. Women empowerment, male-female age difference, and child desire were important predictors for modern contraceptive use. This highlights the need to promote contraceptive use among women of reproductive age.
Ezeh, A.C., Bongaarts, J. and Mberu, B. (2012) Global Population Trends and Policy Options. Lancet, 380, 142-148.
Alkema, L., Kantorova, V., Menozzi, C. and Biddlecom, A. (2013) National, Regional, and Global Rates and Trends in Contraceptive Prevalence and Unmet Need for Family Planning between 1990 and 2015: A Systematic and Comprehensive Analysis. Lancet, 381, 1642-1652. http://dx.doi.org/10.1016/S0140-6736(12)62204-1
Aryeetey, R., Kotoh, A.M. and Hindin, M.J. (2010) Knowledge, Perceptions and Ever Use of Modern Contraception among Women in the Ga East District, Ghana. African Journal of Reproductive Health, 14, 29.
Samandari, G., Speizer, I.S. and O’Connell, K. (2010) The Role of Social Support and Parity on Contraceptive Use in Cambodia. International Perspectives on Sexual and Reproductive Health, 36, 122-131.
Dalal, K., Andrews, J. and Dawad, S. (2011) Contraception Use and Associations with Intimate Partner Violence among Women in Bangladesh. Journal of Biosocial Science, 44, 83-94. http://dx.doi.org/10.1017/S0021932011000307
Mohammed, A., Woldeyohannes, D., Feleke, A. and Megabiaw, B. (2014) Determinants of Modern Contraceptive Utilization among Married Women of Reproductive Age Group in North Shoa Zone, Amhara Region, Ethiopia. Journal of Reproductive Health, 11, 13. http://dx.doi.org/10.1186/1742-4755-11-13
Tadesse, M., Teklie, H., Yazew, G. and Gebreselassie, F. (2013) Women’s Empowerment as a Determinant of Contraceptive Use in Ethiopia: Further Analysis of the 2011 Ethiopia Demographic and Health Survey and Health Survey. DHS Further Analysis Reports No. 82. ICF International, Calverton.
Hameed, W., Azmat, K.S., Ali, M., Sheikh, I.M., Abbas, G., Temmerman, M. and Avan, I.B. (2014) Women’s Empowerment and Contraceptive Use: The Role of Independent versus Couples’ Decision-Making, from a Lower Middle Income Country Perspective. PLoS ONE, 9, e104633.
Ibisomi, L. (2014) Is Age Difference between Partners Associated with Contraceptive Use among Married Couples in Nigeria? International Perspectives on Sexual and Reproductive Health, 40, 39-45.
Mosha, I., Ruben, R. and Kakoko, D. (2013) Family Planning Decisions, Perceptions and Gender Dynamics among Couples in Mwanza Tanzania: A Qualitative Study. BMC Public Health, 13, 523.
Irani, L., Speizer, I.S. and Fotso, J.C. (2014) Relationship Characteristics and Contraceptive Use among Couples in Urban Kenya. International Perspectives on Sexual and Reproductive Health, 40, 11-20.
O’Hara, K., Tsai, L.C., Carlson, C.E. and Haidar, Y.M. (2013) Experiences of Intimate-Partner Violence and Contraception Use among Ever-Married Women in Jordan. Eastern Mediterranean Health Journal, 19, 876-882.
Kurimoto, N. and Do, M. (2012) Women’s Empowerment and Choice of Contraceptive Methods in Selected African Countries. International Perspectives on Sexual and Reproductive Health, 38, 23-33.
Montes, R.B. and Cruz, E.L. (2014) Bayesian Logistic Regression Analysis of the Association of Intimate Partner Violence and Modern Contraceptive Use in the Philippines. Asian Journal of Social Sciences and Humanities, 3, 142-150.